Previous induced abortion among young women seeking abortion-related care in Kenya: a cross-sectional analysis
| dc.contributor.author | Kabiru, Caroline W | |
| dc.contributor.author | Ushie, Boniface A | |
| dc.contributor.author | Mutua, Michael M | |
| dc.contributor.author | Izugbara, Chimaraoke O | |
| dc.date.accessioned | 2016-09-09T04:10:04Z | |
| dc.date.available | 2016-09-09T04:10:04Z | |
| dc.date.issued | 2016-05-14 | |
| dc.description.abstract | BACKGROUND Unsafe abortion is a leading cause of death among young women aged 10-24 years in sub-Saharan Africa. Although having multiple induced abortions may exacerbate the risk for poor health outcomes, there has been minimal research on young women in this region who have multiple induced abortions. The objective of this study was therefore to assess the prevalence and correlates of reporting a previous induced abortion among young females aged 12-24 years seeking abortion-related care in Kenya. METHODS We used data on 1,378 young women aged 12-24 years who presented for abortion-related care in 246 health facilities in a nationwide survey conducted in 2012. Socio-demographic characteristics, reproductive and clinical histories, and physical examination assessment data were collected from women during a one-month data collection period using an abortion case capture form. RESULTS Nine percent (n = 98) of young women reported a previous induced abortion prior to the index pregnancy for which they were receiving care. Statistically significant differences by previous history of induced abortion were observed for area of residence, religion and occupation at bivariate level. Urban dwellers and unemployed/other young women were more likely to report a previous induced abortion. A greater proportion of young women reporting a previous induced abortion stated that they were using a contraceptive method at the time of the index pregnancy (47 %) compared with those reporting no previous induced abortion (23 %). Not surprisingly, a greater proportion of young women reporting a previous induced abortion (82 %) reported their index pregnancy as unintended (not wanted at all or mistimed) compared with women reporting no previous induced abortion (64 %). CONCLUSIONS Our study results show that about one in every ten young women seeking abortion-related care in Kenya reports a previous induced abortion. Comprehensive post-abortion care services targeting young women are needed. In particular, post-abortion care service providers must ensure that young clients receive contraceptive counseling and effective pregnancy prevention methods before discharge from the health care facility to prevent unintended pregnancies that may result in subsequent induced abortions. | en_AU |
| dc.description.sponsorship | The research presented in this manuscript was funded by the Consortium for Research on Unsafe Abortion in Africa and its principal donor, the UK Department for International Development, as well as the Government of the Netherlands. Analysis and writing time was supported through funding from the Bill and Melinda Gates Foundation (Global Health Grant Number: OPP1021893); UK aid from the UK government for the Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP) Research Programme Consortium (Grant Number SR1109D-6); a Safe Abortion Action Fund grant for the Understanding and Improving Adolescent Women’s Access to Quality Abortion Care in Kenya Project (2014–2016); and through general support grants to the African Population and Health Research Center from the Swedish International Development Cooperation Agency (Grant Number 2011–001578) and the William and Flora Hewlett Foundation (Grant Number 2012–7612). MMM’s writing time was also funded by the Consortium for Advanced Research Training in Africa (CARTA). CARTA is jointly led by the African Population and Health Research Center and the University of the Witwatersrand and is funded by the Wellcome Trust (UK) [Grant no. 087547/Z/08/Z], the Department for International Development (DfID) under the Development Partnerships in Higher Education (DelPHE), the Carnegie Corporation of New York [Grant no. B 8606], the Ford Foundation [Grant no. 1100–0399], Google.Org [Grant no. 191994], Sida [grant number 54100029] and John D. and Catherine T. MacArthur Foundation [Grant no. 10-95915-000-INP]. | en_AU |
| dc.identifier.issn | 1471-2393 | en_AU |
| dc.identifier.uri | http://hdl.handle.net/1885/108714 | |
| dc.publisher | BioMed Central | en_AU |
| dc.rights | © 2016 Kabiru et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en_AU |
| dc.source | BMC pregnancy and childbirth | en_AU |
| dc.subject | contraception | en_AU |
| dc.subject | kenya | en_AU |
| dc.subject | multiple induced abortions | en_AU |
| dc.subject | sexual and reproductive health | en_AU |
| dc.subject | sub-saharan africa | en_AU |
| dc.subject | unintended pregnancy | en_AU |
| dc.subject | young women | en_AU |
| dc.title | Previous induced abortion among young women seeking abortion-related care in Kenya: a cross-sectional analysis | en_AU |
| dc.type | Journal article | en_AU |
| dcterms.accessRights | Open Access | en_AU |
| local.bibliographicCitation.issue | 1 | en_AU |
| local.bibliographicCitation.startpage | 104 | en_AU |
| local.contributor.affiliation | Kabiru, C. W., National Centre for Epidemiology & Population Health (NCEPH) and School of Demography, The Australian National University | en_AU |
| local.contributor.authoruid | u1022906 | en_AU |
| local.identifier.citationvolume | 16 | en_AU |
| local.identifier.doi | 10.1186/s12884-016-0894-z | en_AU |
| local.identifier.essn | 1471-2393 | en_AU |
| local.publisher.url | http://www.biomedcentral.com/ | en_AU |
| local.type.status | Published Version | en_AU |